Individual
REGINA DE LA TORRE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8008 WESTPARK DR, MC LEAN, VA 22102-3109
(703) 287-6400
Mailing address
8810 CHURCHFIELD LN, LAUREL, MD 20708-2466
(301) 792-3646
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R243312
MD
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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